I’m catching up on blogs and getting back into the swing of work after a week’s staycation hosting my mom and stepdad and taking them on daytrips to lots of local sites: Highclere Castle (“Downton Abbey”), Bath, Avebury, the south coast, Sandham Memorial Chapel, the Kennet & Avon canal, and Mottisfont Abbey.
Today’s contributions to my colour-themed summer reading are both nonfiction: a forthright memoir from a female surgeon and a light-hearted record of multiple seasons of hawk-watching in Central Park.
Direct Red: A Surgeon’s Story by Gabriel Weston (2009)
Trying to keep herself alert seven hours into assisting with a neck surgery, Weston recites to herself a list of dyes used to stain tissues for microscopy: methylene blue, acridine orange, saffron, malachite green, Tyrian purple, Hoffman’s violet, direct red. This is how the book opens, and of course, red being the colour of blood, it shows up frequently in what follows. She tells (anonymized) stories of people she has treated, of all ages and from all backgrounds, both during her training and after she specialized in ear, nose and throat surgery.
Like Henry Marsh in Admissions, she expresses regret for moments when she was in a rush or trying to impress seniors and didn’t give the best patient-focused care she could have. Some patients even surprise her into changing her mind, such as about the morality of plastic surgery.
The accounts of individual surgeries are detailed and sometimes gory: morbidly delicious for me, but definitely not for the squeamish.
Blood trickled in a stream down the inside of my wrist onto the plasticky gown, and then dripped off me and onto the drape. It collected in a green valley and was congealing there like a small garnet jelly. I lost my balance slightly as the breast was cut off.
Surgery is still a male-dominated field, and I’ve sensed unpleasant machismo from surgeon authors before (Stephen Westaby’s The Knife’s Edge). As a woman in medicine, Weston is keenly aware of the difficult balance to be struck between confidence and compassion.
To be a good doctor, you have to master a paradoxical art. You need to get close to a patient so that they will tell you things and you will understand what they mean. But you also have to keep distant enough not to get too affected.
It is no longer enough to be technically proficient; nowadays, we need to be nice. And this presents the modern surgeon with a great challenge: how to combine a necessary degree of toughness with an equally important ability to be gentle.
Initially, her bedside manner is on the brusque side, but when she becomes a mother this changes. Treating a sick baby in the ITU, she realizes she barely sees her own child for more than five minutes per evening. In the final paragraphs, she quits her career-track consultant job to work part-time. “I chose a life with more home in it.” It’s an abrupt ending to a 180-page memoir that I thoroughly enjoyed but that left me wanting more. (Secondhand purchase from Oxfam Books, Reading)
Red-Tails in Love: A Wildlife Drama in Central Park by Marie Winn (1998)
In the early 1990s, Wall Street Journal columnist Winn fell in with an earnest group of birdwatchers who monitor the daily activity in New York City’s Central Park, a haven for wildlife. Through the Register, a logbook stored in a boathouse, they share sightings and track patterns. Relative rarities thrive and breed each year. Before long the book zeroes in on a famous pair of red-tailed hawks, “Pale Male” and a series of females. Winn emphasizes the “drama” of her subtitle, arranging the content into Acts and Scenes that span about five years.
Wild birds face many risks, most of them the fault of humans, and there are some distressing losses here. It is thus a triumph when Pale Male and his mate successfully raise three chicks on the façade of a Fifth Avenue apartment building (home to Mary Tyler Moore, with Woody Allen across the street). The birdwatchers are vigilant, sending letters to the apartment manager and calling park staff to ensure the birds are left in peace. No doubt it’s easier to disseminate information and assign responsibility now what with WhatsApp and Twitter. Indeed, I found the book a little dated and the anthropomorphizing somewhat over-the-top, but Winn makes a sweet, rollicking yarn out of people getting invested in nature. (Secondhand purchase from Clock Tower Books, Hay-on-Wye)
Coming up next: Three green, one black, one gold (and maybe a rainbow bonus).